Abstract
During the period January to December 1984 there were 434 perinatal deaths among 16,466 births in a developing North African country. The perinatal, still birth and early neonatal death rates were 263, 11.4 and 149 per 1000 respectively. The major causes of still births included antepartum hemorrhage, cord accidents, maternal diabetes mellitus and fetal malformations. The clinical causes of early neonatal death (within first seven days of life) were major congenital malformation (24.9%),hyaline membrane disease and aspiration syndrome(26.1%),birth asphyxia and injury(179%),very low birth weight (17.2%) and sepsis/meningitis (13.1%). The perinatal outcome in Libya is compared with other developing countries and strategies for reducing the high perinatal loss are discussed.
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